Individual
MARIA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11631 NIX CT # A, ANCHORAGE, AK 99515-3409
(907) 952-1178
Mailing address
11631 NIX CT # A, ANCHORAGE, AK 99515-3409
(907) 952-1178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
987011
AK
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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